Cargando…

Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries

BACKGROUND: Close-to-community (CTC) health service providers are a cost-effective and important resource in the promotion of and increasing access to health services. However, many CTC provider programmes suffer from high rates of de-motivation and attrition due to inadequate support systems. Recen...

Descripción completa

Detalles Bibliográficos
Autores principales: Vallières, Frédérique, Kok, Maryse, Mahmud, Ilias, Sarker, Malabika, Jeacocke, Philippa, Karuga, Robinson, Limato, Licia, Kea, Aschenaki Z., Chikaphupha, Kingsley, Sidat, Mohsin, Gilmore, Brynne, Taegtmeyer, Miriam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7395979/
https://www.ncbi.nlm.nih.gov/pubmed/32738907
http://dx.doi.org/10.1186/s12960-020-00495-7
_version_ 1783565493176631296
author Vallières, Frédérique
Kok, Maryse
Mahmud, Ilias
Sarker, Malabika
Jeacocke, Philippa
Karuga, Robinson
Limato, Licia
Kea, Aschenaki Z.
Chikaphupha, Kingsley
Sidat, Mohsin
Gilmore, Brynne
Taegtmeyer, Miriam
author_facet Vallières, Frédérique
Kok, Maryse
Mahmud, Ilias
Sarker, Malabika
Jeacocke, Philippa
Karuga, Robinson
Limato, Licia
Kea, Aschenaki Z.
Chikaphupha, Kingsley
Sidat, Mohsin
Gilmore, Brynne
Taegtmeyer, Miriam
author_sort Vallières, Frédérique
collection PubMed
description BACKGROUND: Close-to-community (CTC) health service providers are a cost-effective and important resource in the promotion of and increasing access to health services. However, many CTC provider programmes suffer from high rates of de-motivation and attrition due to inadequate support systems. Recent literature has identified the lack of rigorous approaches towards measuring and monitoring motivation among CTC providers as an important gap. Building on scales used in previous studies, we set out to develop a short, simple-to-administer scale to monitor and measure indicators of CTC provider motivation across CTC programmes implemented in six countries: Ethiopia, Kenya, Malawi, Mozambique, Indonesia, and Bangladesh. METHODS: We used focus group discussions (n = 18) and interviews (n = 106) conducted with CTC providers across all six countries, applying thematic analysis techniques to identify key determinants of motivation across these contexts. These themes were then used to carry out a systematic search of the literature, to identify existing scales or questionnaires developed for the measurement of these themes. A composite 24-item scale was then administered to CTC providers (n = 695) across the six countries. Survey responses were subsequently randomly assigned to one of two datasets: the first for scale refinement, using exploratory techniques, and the second for factorial validation. Confirmatory factor analysis was applied to both datasets. RESULTS: Results suggest a 12-item, four-factor structure, measuring community commitment, organisational commitment, job satisfaction, and work conscientiousness as common indicators of motivation among CTC providers across the six countries. CONCLUSIONS: Consistent with previous studies, findings support the inclusion of job satisfaction, organisational commitment, and work conscientiousness within the CTC Provider Motivation Indicator Scale. In addition, findings further supported the addition of a fourth, community commitment, sub-scale. Practical applications of the revised scale, including how it can be applied to monitor motivation levels within CTC provider programming, are discussed.
format Online
Article
Text
id pubmed-7395979
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-73959792020-08-06 Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries Vallières, Frédérique Kok, Maryse Mahmud, Ilias Sarker, Malabika Jeacocke, Philippa Karuga, Robinson Limato, Licia Kea, Aschenaki Z. Chikaphupha, Kingsley Sidat, Mohsin Gilmore, Brynne Taegtmeyer, Miriam Hum Resour Health Research BACKGROUND: Close-to-community (CTC) health service providers are a cost-effective and important resource in the promotion of and increasing access to health services. However, many CTC provider programmes suffer from high rates of de-motivation and attrition due to inadequate support systems. Recent literature has identified the lack of rigorous approaches towards measuring and monitoring motivation among CTC providers as an important gap. Building on scales used in previous studies, we set out to develop a short, simple-to-administer scale to monitor and measure indicators of CTC provider motivation across CTC programmes implemented in six countries: Ethiopia, Kenya, Malawi, Mozambique, Indonesia, and Bangladesh. METHODS: We used focus group discussions (n = 18) and interviews (n = 106) conducted with CTC providers across all six countries, applying thematic analysis techniques to identify key determinants of motivation across these contexts. These themes were then used to carry out a systematic search of the literature, to identify existing scales or questionnaires developed for the measurement of these themes. A composite 24-item scale was then administered to CTC providers (n = 695) across the six countries. Survey responses were subsequently randomly assigned to one of two datasets: the first for scale refinement, using exploratory techniques, and the second for factorial validation. Confirmatory factor analysis was applied to both datasets. RESULTS: Results suggest a 12-item, four-factor structure, measuring community commitment, organisational commitment, job satisfaction, and work conscientiousness as common indicators of motivation among CTC providers across the six countries. CONCLUSIONS: Consistent with previous studies, findings support the inclusion of job satisfaction, organisational commitment, and work conscientiousness within the CTC Provider Motivation Indicator Scale. In addition, findings further supported the addition of a fourth, community commitment, sub-scale. Practical applications of the revised scale, including how it can be applied to monitor motivation levels within CTC provider programming, are discussed. BioMed Central 2020-08-01 /pmc/articles/PMC7395979/ /pubmed/32738907 http://dx.doi.org/10.1186/s12960-020-00495-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Vallières, Frédérique
Kok, Maryse
Mahmud, Ilias
Sarker, Malabika
Jeacocke, Philippa
Karuga, Robinson
Limato, Licia
Kea, Aschenaki Z.
Chikaphupha, Kingsley
Sidat, Mohsin
Gilmore, Brynne
Taegtmeyer, Miriam
Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries
title Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries
title_full Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries
title_fullStr Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries
title_full_unstemmed Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries
title_short Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries
title_sort measuring motivation among close-to-community health workers: developing the ctc provider motivational indicator scale across six countries
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7395979/
https://www.ncbi.nlm.nih.gov/pubmed/32738907
http://dx.doi.org/10.1186/s12960-020-00495-7
work_keys_str_mv AT vallieresfrederique measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries
AT kokmaryse measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries
AT mahmudilias measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries
AT sarkermalabika measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries
AT jeacockephilippa measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries
AT karugarobinson measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries
AT limatolicia measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries
AT keaaschenakiz measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries
AT chikaphuphakingsley measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries
AT sidatmohsin measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries
AT gilmorebrynne measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries
AT taegtmeyermiriam measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries